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Organization

NORTH MISSISSIPPI MEDICAL CENTER

Active
Other names
Family Medicine Residency Center
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD WAGES (COO)
(662) 377-3000
Entity
Organization

Contact information

Practice address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-2189
(662) 377-2263
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014041
MS
Enumeration date
08/31/2006
Last updated
07/11/2007
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